UTI not treated soon enough it will move to the bladder then the kidneys and can lead to sepsis

Acute pyelonephritis

infeection of ureter, renal pelvis

becomes very severe when it gets into the kidneyscan cause shockalways treat it in children!

rapid onset of fever, chills, malaise and flank pain

sympt may be diff in elderly

treated: antibiotics

Chronic pyelonphitis

over a long time i can lead to death of tubules

persistent or recurring epidoes of acute pylinephritis

risk of chroinic pyel.. in indiv's w/ renal infections and some type of obstrution

this leads to scarring of the kidney and can lead to end stage renal disease

Chronic Renal Failure

occurs when the kidney is no longer able to effectively maintain homeostasis and removes wastes

chronic renal disease, is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a reduced appetite.

cause: ARF, DM, HTN, glomerulonephritis

HTN: kidney: chronic damage in AfAm higher rates

potential clinical complications

HTN and edema- due to soium/water imbalance, can lead to CHF, pulm edema, or periipherla edema

hyperkalemia- can lead to cardiac arrest, arrythmias,

uremia-high serum urea- can lead to bleeding easier

anemia- due to reduced erythropoitin production- which produce RBC

hypocalcemia- due to vit d not being activated--> cant absorb calcium

hyperphosphatemia- high levels of phsophorus

encephalitis- confusing- like delirium- but diff bc has specific cause